What TRT Actually Did for Me at 53
I was diagnosed with anxiety in 2021, hit 373 lbs in 2024, and started TRT in 2025. The full story, the numbers, and what the discourse misses.
Fitness Journey, Medicine 3.0, Testosterone/TRT
50
Fitness Journey, Medicine 3.0
Reading Your Cholesterol Panel at 50: A Plain-English Guide to the New 2026 Guideline
Your cholesterol panel at 50, decoded. The six numbers, the new 2026 guideline targets, the coronary calcium scan, and what the drugs actually do.
Fitness Journey, GLP-1, Medicine 3.0
SURMOUNT-MAINTAIN: The Trial I Wanted on Tirzepatide Dose Reduction
I am at goal weight on Zepbound. SURMOUNT-MAINTAIN is the trial I have been waiting for. Here is what holding the line at a lower dose actually looks like.
cardio, Longevity
Cycling Cuts Dementia Risk by 22%. What the New Data Actually Says.
A study of 479,000 adults found cyclists had 22% lower Alzheimer’s risk, 40% lower young-onset dementia risk, and measurably larger hippocampi than nonactive controls. Here’s what the data actually shows, the APOE caveat the headlines missed, and the negative RCT you should hold next to it.
Bloodwork, Cholesterol, Longevity, Medicine 3.0
Lp(a) Test: The Number Most Doctors Miss
In May 2026, three major papers landed on Lp(a) — the genetic cholesterol marker that 1 in 5 adults carry at risk levels and almost nobody gets tested for. Here’s what the new evidence says, what to do if your number is high, and the aspirin advice you should stop following.
Fitness Journey, Training
The One Home Gym Mistake I won’t make again after 50
I admit I like toys, whether it gadgets, cars or gym equipment. When I started setting up a “home gym” (really just a corner in my office), I thought more was better. More machines, more wearables, more gadgets, more choices… After a year I realized that more equipment doesn’t exult better training, especially as your
Hypertension, Training
The Blood Pressure Wake-Up Call
I’ve got stage 1 hypertension. Nothing dramatic — no dizzy spells, no chest tightness — just that quiet number on the monitor that’s a little higher than it should be. My mom had it too, most of her life. She used to joke that we just “run hot,” but really, it’s no joke at all.
Training, Weight loss
Fitness Journey Part 3: Establishing an exercise habit (May 2025)
After starting GLP-1s, I knew I had to work out to avoid losing muscle mass and to help with general fitness. Alas, I had never really worked out… ever. So, I started slowly and bought an indoor bike. This seemed like a good choice as I hate running (I blame a bum knee!) and I
Mental health
Why Are Men So Lonely After 50? (And How to Actually Fix It)
Here’s a question: when’s the last time you had a real conversation with a friend? Not the “how about those Cowboys” bullshit at your kid’s game or the polite catch-up at some work thing. An actual conversation where you talked about what’s really going on. If you’re drawing a blank, you’re not alone. Which is
Protein, Training
Why Am I Losing Muscle Mass in My 50s? (And What You Can Do About It)
If you’ve noticed your arms looking a bit smaller or your strength declining despite hitting the gym, you’re not imagining things. Losing muscle mass in your 50s is a real phenomenon—but it’s not inevitable. The Science Behind Muscle Loss After 50 Starting around age 30, men begin losing 3-8% of their muscle mass per decade,